SIPS LEIDEN CONFERENCE 2017

SIPS LEIDEN CONFERENCE 2017 LANGUAGE & PLACEBO ROEL GAYMANS MD PhD

SELF -HEALING SYMPHONY PLACEBO CONCERT SELF -HEALING SYMPHONY INSTRUMENTS : LANGUAGE EXPECTATION CONDITIONING CONTEXTUAL RITUAL S MEANING COMPOSER : NATURE ORCHESTRA: THE PATIENT DIRECTOR : THE DOCTOR

SELF -HEALING SYMPHONY PLACEBO CONCERT SELF -HEALING SYMPHONY * COMPOSER: NATURE Walach: the capacity to self-heal emerges from the placebo concept

SELF -HEALING SYMPHONY PLACEBO CONCERT SELF -HEALING SYMPHONY *ORCHESTRA : THE PATIENT `Beauregard:..evidence from neuroimagining studies of emotional selfregulation in psychotherapy and the placebo effect

SELF -HEALING SYMPHONY PLACEBO CONCERT SELF -HEALING SYMPHONY * DIRECTOR THE DOCTOR Benedetti: …but certainly doctors, nurses, and health professionals represent a very important component of the context, as they can transmit a lot of information to the patient through their words, attitudes, and behaviors.

SELF –HEALING SYMPHONY PLACEBO CONCERT SELF –HEALING SYMPHONY * LANGUAGE As prelude and recurrent theme EXPECTATION CONDITIONING CONTEXTUAL RITUALS MEANING Pollo: different verbal instructions produced different outcomes and behaviour

SELF –HEALING SYMPHONY PLACEBO CONCERT SELF –HEALING SYMPHONY * LANGUAGE As prelude and recurrent theme EXPECTATION CONDITIONING CONTEXTUAL RITUALS MEANING Harrington:..Language as a medium for the exchange of information. …language is embodied-not only physically but also symbolically, Through the power of words to elicit profound emotional responses

SELF –HEALING SYMPHONY PLACEBO CONCERT SELF –HEALING SYMPHONY ROLE of LANGUAGE - in * EXPECTATION CONDITIONING CONTEXTUAL RITUALS MEANING Wayne B.Jonas: the very words used when communicating about treatment or pain can activate different parts of the brain.

SELF -HEALING SYMPHONY PLACEBO CONCERT SELF -HEALING SYMPHONY LANGUAGE In * CONDITIONING CONTEXTUAL RITUALS MEANING Karin Meissner: verbal suggestions… may activate association networks in the brain that store memories of the appropriate autonomic response

SELF -HEALING SYMPHONY PLACEBO CONCERT SELF -HEALING SYMPHONY LANGUAGE and * CONTEXTUAL HEALING RITUALS MEANING Miller :..the environment of the clinical setting, cognitive and affective communication of clinicians and the ritual of administering the treatment.

SELF -HEALING SYMPHONY PLACEBO CONCERT SELF -HEALING SYMPHONY LANGUAGE and * RITUALS MEANING Kaptchuk: Songs, chants, and narrative stuctures are the base of the healing rituals

SELF -HEALING SYMPHONY PLACEBO CONCERT SELF -HEALING SYMPHONY LANGUAGE and * MEANING Moerman: ..a generic system of meaning.. initiated by the specific red or blue pills that he doctor gives You..when to take it.. and to drink lots of water with it.

SO WHAT ? * Language influences Placebo behaviour at many levels. ** In scientific and clinical Doctor - Patient communication, language deserves more detailed attention. *** Language will become extremely influential in future healthcare technological developments like Virtual Reality and Artificial Intelligence. SO WHAT ?

VIRTUAL EXPERIMENTER “Dr HALSEY” Bjoern Horing, Nathan D. Newsome, Paul Enck, Sabarish V. Babu, and Eric R. Muth BMC Medical Research Methodology July18, 2016 With permission

SELF -HEALING SYMPHONY PLACEBO CONCERT SELF -HEALING SYMPHONY INSTRUMENTS : LANGUAGE EXPECTATION CONDITIONING CONTEXTUAL RITUAL S MEANING COMPOSER : NATURE ORCHESTRA: THE PATIENT DIRECTOR : THE DOCTOR